Organization
HIXSON DRUGS LLC
Active
Other names
Hixson Drug
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN HOWARD (OWNER)
(417) 581-7777
Entity
Organization
Contact information
Practice address
604A E SOUTH ST, OZARK, MO 65721-8912
(417) 581-7777
(417) 581-8152
Mailing address
604A E SOUTH ST, OZARK, MO 65721-8912
(417) 581-7777
(417) 581-8152
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
2012022441
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2137835
PK
—
05
—
600129001
—
MO
Enumeration date
09/11/2006
Last updated
11/10/2016
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